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Effects of Eltoprazine on Cognitive Impairment Associated With Schizophrenia (CIAS) in Adults

Primary Purpose

Cognitive Impairment, Schizophrenia

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Eltoprazine
Placebo
Sponsored by
Amarantus BioScience Holdings, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cognitive Impairment focused on measuring CIAS, Cognition, Schizophrenia, Eltoprazine

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Males and Females, 18-65 years of age, who meet the DSM-IV-TR for schizophrenia.

Must test negative for pregnancy at the time of enrollment based on a pregnancy test & agrees to use birth control during study.

Performance less than the max cutoff (in parentheses) for ONE of the following MCCB tests: i) Letter-number span (20); ii) HVLT total (31); and iii) CPT d-prime (3.47) BPRS Hallucinatory Behavior or Unusual Thought Content item scores ≤ 5

BPRS Conceptual Disorganization item score ≤ 4

Simpson-Angus Scale total score ≤ 6

CDRS total score ≤ 10

Able to complete the baseline MCCB validly as assessed by tester

WTAR raw score ≥ 6

Be treated with one of the following second generation antipsychotics: risperidone, olanzapine, quetiapine, asenapine, iloperidone or paliperidone for the previous two months, with no change in dose in the last month, or with injectable depot antipsychotics (fluphenazine, haloperidol decanoate, risperdal Consta or paliperidone sustenna) with no change in last 3 months

Laboratory results must show no clinically significant abnormalities.

Must have an ECG with QTc measurement performed at Screening that is not clinically significant.

Must have a negative drug screen.

Exclusion Criteria:

Current treatment with one of the following antipsychotics: clozapine, aripiprazole, lurasidone or ziprasidone.

Current treatment with any anti-cholinergic drug in doses above 2 mg daily for benztropine, 5 mg per day for trihexyphenidyl, and 50 mg day for diphenhydramine.

Current treatment with benzodiazepines in doses above 10 mg of diazepam (or the equivalent of another drug).

Patients with a DSM-IV diagnosis of alcohol or substance abuse within the last month or a DSM-IV diagnosis of alcohol or substance dependence within the last 6 months.

Have a significant suicide attempt within one year of Visit 1, answered yes to question 3, 4 or 5 on the C-SSRS at Visit 1,or are currently at risk of suicide in the opinion of the Investigator.

Patients with a hx of significant head injury/trauma. Patients with a clinically significant neurological, metabolic,hepatic, hematological, pulmonary, cardiovascular, gastrointestinal, and/or urological disorder. Insulin-dependent diabetics who are clinically stable and whose baseline fasting glucose is 200 or less may be included.

Clinically significant abnormalities in PE, ECG, or lab assessments. Clinically significant renal disease (e.g. chronic renal insufficiency with GFR <60, inflammatory disease requiring medication, acute renal failure).

Pregnant women or women of child-bearing potential, who are either not surgically-sterile or using appropriate methods of birth control.

Women who are breast-feeding Have a TSH level consistent with hyperthyroidism or hypothyroidism. Patients previously diagnosed with hyperthyroidism or hypothyroidism, who have been treated on a stable dose of thyroid supplement for at least the past 3 months, and who are clinically and chemically euthyroid will be allowed to participate in the study.

Have significant prior or current medical conditions that, in the judgment of the investigator, could be exacerbated by or compromised by study drug.

Have any medical condition that would increase sympathetic nervous system activity markedly.Patients who are taking a medication on a daily basis (for example, albuterol, inhalation aerosols, pseudoephedrine), that has sympathomimetic activity can be enrolled.

Used MAOIs during the 2 weeks (14 days) prior to Baseline. Have used any SSRI, a 5HT1A agonist or other serotonin-mediated treatment for any reason during the 4 weeks prior to Baseline.

Have current hypertension despite treatment. Have received treatment within the last 60 days with a drug that has not received regulatory approval for any indication at the time of study entry.

Sites / Locations

  • Veteran's Administration of Greater Los Angeles
  • Northwestern University Feinberg School of Medicine
  • Maryland Psychiatric Research Center
  • Massachusetts General Hospital
  • Research Foundation for Mental Hygiene, Inc.
  • Duke University School of Medicine

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Eltoprazine

Placebo

Arm Description

eltoprazine pill 2.5mg bid, eltoprazine pill 5mg bid, eltoprazine 7.5mg bid

placebo pill 2.5mg bid, placebo pill 5mg bid, placebo 7.5mg bid

Outcomes

Primary Outcome Measures

MATRICS Consensus Cognitive Battery (MCCB)
Assessment of cognitive effects over time measured suing the MCCB battery

Secondary Outcome Measures

Continuous Performance Test-AX Version (CPT-AX)
Assessment of Cognitive effects over time measured using the Continuous Performance Test (AX version)
N-Back
Assessment of Cognitive effects over time measured using the N-Back Working Memory Test
Brief Psychiatric Rating Scale (BPRS)
Calgary Depression Scale (CDS)
Scale for Assessment of Negative Symptoms (SANS)
Simpson-Angus Extrapyramidal Symptom Rating Scale (SAS)
Abnormal Involuntary Movement Scale (AIMS)
Barnes Akathisia Scale (BAS)
Columbia Suicide Severity Rating Scale (C-SSRS)

Full Information

First Posted
December 21, 2010
Last Updated
April 13, 2015
Sponsor
Amarantus BioScience Holdings, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01266174
Brief Title
Effects of Eltoprazine on Cognitive Impairment Associated With Schizophrenia (CIAS) in Adults
Official Title
Randomized, Double-blind, Parallel Trial Comparing the Effects of Eltoprazine (Adjunct to Anti-psychotics) With Placebo in Adults With Schizophrenia, in Improving One or More Dimensions of Cognitive Impairment Associated With Schizophrenia
Study Type
Interventional

2. Study Status

Record Verification Date
April 2015
Overall Recruitment Status
Completed
Study Start Date
August 2011 (undefined)
Primary Completion Date
September 2012 (Actual)
Study Completion Date
November 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Amarantus BioScience Holdings, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine if eltoprazine (as an adjunct to anti-psychotic medication) improves one or more aspects of cognitive impairment in adult schizophrenic patients.
Detailed Description
Schizophrenia is a common and highly disabling psychiatric disorder with population prevalence around 1%. The manifestations of schizophrenia fall into three major domains: 1) "positive" symptoms, such as delusions, hallucinations, and disorganization of behavior; 2) "negative symptoms," including social withdrawal, lack of motivation, and reduced expression of affect; and 3) cognitive dysfunction. Cognitive deficits are seen in most patients with schizophrenia. Eltoprazine has agonist effects on both 5-HT1A and 5-HT1B receptors, which suggests that this drug may be useful for normalizing prefrontal cognitive abilities, reducing aggression and impulsivity, and improving cognitive function in schizophrenia. This study will compare the effects of Eltoprazine (as an adjunctive treatment to anti-psychotics) with Placebo in Adults with a DSM IV/DSM IV TR diagnosis of schizophrenia, in potentially improving one or more dimensions of cognitive impairment associated with schizophrenia.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cognitive Impairment, Schizophrenia
Keywords
CIAS, Cognition, Schizophrenia, Eltoprazine

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
31 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Eltoprazine
Arm Type
Experimental
Arm Description
eltoprazine pill 2.5mg bid, eltoprazine pill 5mg bid, eltoprazine 7.5mg bid
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
placebo pill 2.5mg bid, placebo pill 5mg bid, placebo 7.5mg bid
Intervention Type
Drug
Intervention Name(s)
Eltoprazine
Other Intervention Name(s)
eltropazine hydrochloride
Intervention Description
Comparison of eltoprazine, dosed orally, for 8 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo to match eltoprazine
Primary Outcome Measure Information:
Title
MATRICS Consensus Cognitive Battery (MCCB)
Description
Assessment of cognitive effects over time measured suing the MCCB battery
Time Frame
At Baseline and every 4 weeks
Secondary Outcome Measure Information:
Title
Continuous Performance Test-AX Version (CPT-AX)
Description
Assessment of Cognitive effects over time measured using the Continuous Performance Test (AX version)
Time Frame
At Baseline and every 4 weeks
Title
N-Back
Description
Assessment of Cognitive effects over time measured using the N-Back Working Memory Test
Time Frame
At Baseline and every 4 weeks
Title
Brief Psychiatric Rating Scale (BPRS)
Time Frame
At Baseline and every 2 weeks
Title
Calgary Depression Scale (CDS)
Time Frame
At Baseline and every 2 weeks
Title
Scale for Assessment of Negative Symptoms (SANS)
Time Frame
At Baseline and every 2 weeks
Title
Simpson-Angus Extrapyramidal Symptom Rating Scale (SAS)
Time Frame
At Baseline and every 2 weeks
Title
Abnormal Involuntary Movement Scale (AIMS)
Time Frame
At Baseline and every 2 weeks
Title
Barnes Akathisia Scale (BAS)
Time Frame
At Baseline and every 2 weeks
Title
Columbia Suicide Severity Rating Scale (C-SSRS)
Time Frame
At baseline and end of study; every two weeks if there is a change in the CDRS suicidality rating to a score of 2 or 3

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and Females, 18-65 years of age, who meet the DSM-IV-TR for schizophrenia. Must test negative for pregnancy at the time of enrollment based on a pregnancy test & agrees to use birth control during study. Performance less than the max cutoff (in parentheses) for ONE of the following MCCB tests: i) Letter-number span (20); ii) HVLT total (31); and iii) CPT d-prime (3.47) BPRS Hallucinatory Behavior or Unusual Thought Content item scores ≤ 5 BPRS Conceptual Disorganization item score ≤ 4 Simpson-Angus Scale total score ≤ 6 CDRS total score ≤ 10 Able to complete the baseline MCCB validly as assessed by tester WTAR raw score ≥ 6 Be treated with one of the following second generation antipsychotics: risperidone, olanzapine, quetiapine, asenapine, iloperidone or paliperidone for the previous two months, with no change in dose in the last month, or with injectable depot antipsychotics (fluphenazine, haloperidol decanoate, risperdal Consta or paliperidone sustenna) with no change in last 3 months Laboratory results must show no clinically significant abnormalities. Must have an ECG with QTc measurement performed at Screening that is not clinically significant. Must have a negative drug screen. Exclusion Criteria: Current treatment with one of the following antipsychotics: clozapine, aripiprazole, lurasidone or ziprasidone. Current treatment with any anti-cholinergic drug in doses above 2 mg daily for benztropine, 5 mg per day for trihexyphenidyl, and 50 mg day for diphenhydramine. Current treatment with benzodiazepines in doses above 10 mg of diazepam (or the equivalent of another drug). Patients with a DSM-IV diagnosis of alcohol or substance abuse within the last month or a DSM-IV diagnosis of alcohol or substance dependence within the last 6 months. Have a significant suicide attempt within one year of Visit 1, answered yes to question 3, 4 or 5 on the C-SSRS at Visit 1,or are currently at risk of suicide in the opinion of the Investigator. Patients with a hx of significant head injury/trauma. Patients with a clinically significant neurological, metabolic,hepatic, hematological, pulmonary, cardiovascular, gastrointestinal, and/or urological disorder. Insulin-dependent diabetics who are clinically stable and whose baseline fasting glucose is 200 or less may be included. Clinically significant abnormalities in PE, ECG, or lab assessments. Clinically significant renal disease (e.g. chronic renal insufficiency with GFR <60, inflammatory disease requiring medication, acute renal failure). Pregnant women or women of child-bearing potential, who are either not surgically-sterile or using appropriate methods of birth control. Women who are breast-feeding Have a TSH level consistent with hyperthyroidism or hypothyroidism. Patients previously diagnosed with hyperthyroidism or hypothyroidism, who have been treated on a stable dose of thyroid supplement for at least the past 3 months, and who are clinically and chemically euthyroid will be allowed to participate in the study. Have significant prior or current medical conditions that, in the judgment of the investigator, could be exacerbated by or compromised by study drug. Have any medical condition that would increase sympathetic nervous system activity markedly.Patients who are taking a medication on a daily basis (for example, albuterol, inhalation aerosols, pseudoephedrine), that has sympathomimetic activity can be enrolled. Used MAOIs during the 2 weeks (14 days) prior to Baseline. Have used any SSRI, a 5HT1A agonist or other serotonin-mediated treatment for any reason during the 4 weeks prior to Baseline. Have current hypertension despite treatment. Have received treatment within the last 60 days with a drug that has not received regulatory approval for any indication at the time of study entry.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John G Csernansky, MD
Organizational Affiliation
NortWestern University Feinberg School of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Veteran's Administration of Greater Los Angeles
City
Los Angeles
State/Province
California
ZIP/Postal Code
90073
Country
United States
Facility Name
Northwestern University Feinberg School of Medicine
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Maryland Psychiatric Research Center
City
Catonsville
State/Province
Maryland
ZIP/Postal Code
21228
Country
United States
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Research Foundation for Mental Hygiene, Inc.
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
Duke University School of Medicine
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27705
Country
United States

12. IPD Sharing Statement

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Effects of Eltoprazine on Cognitive Impairment Associated With Schizophrenia (CIAS) in Adults

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